Plain radiograph of foot from a patient with chronic tophaceous gout showing asymmetrical soft tissue swellings consistent with tophi, and punched out.

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Presentation transcript:

Plain radiograph of foot from a patient with chronic tophaceous gout showing asymmetrical soft tissue swellings consistent with tophi, and punched out “erosive” changes around the first and fifth metatarsophalangeal joints (arrows) that are situated away from the joint margin. Plain radiograph of foot from a patient with chronic tophaceous gout showing asymmetrical soft tissue swellings consistent with tophi, and punched out “erosive” changes around the first and fifth metatarsophalangeal joints (arrows) that are situated away from the joint margin. E Suresh Postgrad Med J 2005;81:572-579 Copyright © The Fellowship of Postgraduate Medicine. All rights reserved.